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1 Rev. 1.12004
...._________.
... Tide (Article m J udges indicate active or senior status m;a,gistratc judges i ndicat e full· or pan·time)
U.S. Coor! of Appeals. 11 Cir.
(5 u .s.c. •pp.§§ 101-lll)
6 . l\q>crting Period
1n12004
to 1 213112004
g
l On lhe basis of the infonnatioa c:oor.incd in tllis Report and "'Y modifications pertaining thereto, it is. in my opinioo. i n compUancc with applicable bws M d regulations.
___________ _ Date. ____ _
IMPORTANT NOTES: The insttuttions accOmp.n)ing thi s form mus e be fol)owed. Complete all parts, checking the NONE box for each pan where you have no reportable information. Sign on last page.
University of Miami
University of Florida School of La w
PARTIES AND TERMS
:;:• <;;> "
A().10 FINANCIAL DISCLOSURE REPORT
I. Person Repotting (Last name, First name, Middle initial)
FAY,PETERT
SeniorU.S. Circuit Judge
Calendar Year 2004
2. Court or Organization
5. ReportType (check appropriate type)
ReportRequiredby the Ethics In Govcrn.ment Act ot1978
3. Date of Report
411812005
QN....-..,
0 fa;,;,J 0 Final
1. Chambers or Office Address
Federal 11JS1ice Buildin
99 N.S. 4 St=t. Suite 1255
Miami, Florida 33132 ReviewingOfficer.
I. POSffiONS. (Repo<ling individual only; see pp. 9-13 offiling insauctioos)
0 NONE - <Noreportable positions.)
POSIDON
1. Trustee Emeritis
2. Trustee Emeritis
3.
II. AGREEMENTS. (Rq>ortlng individual on1y; seepp. 14-16 offilio; instructioiu)
621 NONE - (Norcporu1>1eagreemen1s.)
l.
0 ..... =
c;; =
('"> r--.,
,_ -,,,o- =
"'::::: <=> N ""::::: ,..,,('"> Ul
o:> )>
fTl N .N
::0 m 0 m -
< m 0
- - -
SOURCE ANJ) mE GRQSS INCOME (.-..o«-\)
soua ce AND ms
I. lrWVd, b>d A lodsillC os a pmticipoal a at scmimr iD New Qrlam, LL
·- . ·····-..
FINANCIAL DISCLOSURE REPORT 11..... orPcnoC1 ReportUi1
FAY, PETERT
III. NON-INVESTMENT rncoME. (Rcpcxtina indi•idull ond spoase;-pp. 17-24 offilirl& inswctions)
A. Flier's Non-Investment Income
li2J NONE · (No n:portablc non·invcscmcnt income.)
1.
B. Spouse's Non-Investment Income -(lf)OU wac mmied dllrina ony ponicnoflhcn:pcrtioayar, this scaion. (dollaraoc n:quircd -fQr hoacnria)
I>!! NONE - CNorq>MU1c_..__,ina>mc.l
1.
IV. REIMBURSEMENTS -tllnS]><ll1llti tod&i•&. !bod, cnterta!nmenl
(Includesthose to spouseand dcpondcnt childn:o. Sec pp. 25-27 of iosuuctlons.)
0 NONE · (Nosuchrcporlllble1<lmb....,......_)
SOURCE Q!?CR!PDCJN
DESCRIPTION
FINANCIAL DISCLOSURE REPORT NamoofP<non Roporung Date of Report
PAY, PETER T 411812005
V. GIFTS, (lncludcotho5c: to spouse ond dcpcndcot children. See pp. 28-JI of insttuctions.)
NONE - (No such n:portablc ;ifts.)
SOURCE
I.
VI. LIABILITIES. (Includesthoseofspouse and d<pendcntchildren. Sec pp. 32-34 of instructions.)
NONE (No reportable liabilities.) -
CREDITOR DESCR!P1ION VALYfCOQB I.
N ame of Pcrsoa Reporti ng
FAY , PETERT
/t.. B. c. Gross vtluc at ml at
rcpc;irtiq period reportina: period
(I) (2) (I) (2)
- Typo va1 ..
""- > (J-P)
(No_ble .......,, ....... «_)
Co mmon •tock - Central Ill. Pub. Service Corp. A Oividaid I T
Savings account . Bank of America A Interest J T
Land near Mtlllln, Florida None K w
Mineral lease on land n ear Ms1ton. Florida A Royalty J w
Nuvcen Mun. Fund Dividend K
D<yden Mun . Bond Fund (formaly Prudential 0 Di vidend K T .
9. Fidelity High Yield Tax Free A Dividend J T
i
II. Spartan Florida Mun. Fund A Dividend J T
12. NIMCtl Mun. Marlee< Opponunity Fl1nd Dividend I T
13. Harbor Capital Appreciltion fund A Dividend T
14. Vanguanl Group, SOO Pont:olio A Dividerul K T
IS. Vanguud Group, European Pont:ol io Dividend K T
16. Prudential Command Acct. (now called Wachovia) B In-• 1 T
1 7 . nmcwamcr
1 8. American International Group Inc.
A
J
( S.. Colurm C2 ) u •Dook VAlve
A Dividend
Dividend
•SJS,00\ 000 .. . . :- .. ,. . .. .
c ... v - °""'
J T
J T
c .-- s1,.ooo,091..ss .!)OO, ooo - ss .001-$100.ooii
-· DClll w -Eslin>l<ed
D ate of Rcpol't
411812005
D.
(I) u n oc c:iccmp1 i;ogm dlsclOll.IR (2) ( 3) (4) (l)
Type (e.g. v .i .. Gain buy, .. o, M-· Cocle l Cocle I ll'lc:rga', Day (J,P) (A·H)
I.di blank
I.di bl ank
Left blank
D E s
( --)
FINANCIAL DISCLOSURE REPORT '
Page 1 of3
VII. INVESTMENTS and TRUSTS
Incottie dutinc
(•.J. Value Code 1 div. nmt. or Codcl Mctbod (A-H) Codel
(Q-W)
]NONE
I.
2.
3.
s.
6.
7. A T
8. Mun Fund OUJ A)
10.
A
J
A
·1. lncomclGaill Codes: •.Sl,OOOcr.tess Colum"' Bl llld !><) F • S.S0,0014100,.000
2 Value Code:s; J •SIS:QOO.;.. .: • •(S<e CoboMs Cl 8Jldl)J) N • $2$0.00l).Sj(ll)l
P3 • $2S,OOO,OOl-1SO,OOO,OOO 3. Value Method.Codes Q • Apjnlsal
A
B •Sl,001-!l.!QQ. o -s Oo,ooi...t1,ooo.ooo, i·
·K.
. o_- ;..�o;i?l4t,ooo.ooo
R - (R'3l Eml<Only)
•S?,SO!-lS,000 Ht L · -
l •Sl;C)OO,OOJ·SS,000,000 "' -s '1bm sso.000.000 s
Tuosootions d>rina .-.ponins p<riod
0...: tdaitity of im,.ul>dler(ifpriwrcndcllpoon) t!llmacdon)
intentionally
inteotionally
intentionally
• SS.001-llS,000 • lS,001-lS0,000 ·M dianSS,000,000
M ··itOO,OOi-Sl.S0,000 .· l'2 •SS,000,00l-$2S,OOO,OOO
T •C.Sb/Mulcct
Ocseriptioo of Aasru
Place •(X)•after Qdi assdexempt&omp;.,
4.
Name of Person Reporting
FAY, P ETER T D :itc of Report
411 812005
A. •• c. D. G ross vatoe ar end or
rqionio1period ...,,.ning period
(I) (l) ( I ) (l) (I) u· DOI: cxempr trom disclosure (l) (l) (•) (5)
- Type T>1>0 (e.1- Dote: Value Gaio bay, sel' M-- Coda2 Code I
iot.) (J·P) Codel rv«. °"' (J.P) (A•H) tedempti09)
Amgen Inc. Non e r
Broadcom Corp. O ass A None J r
21. Home Depot Inc. A Dividend K r
. 22. JDS Uniphase Corp. Non o J r
23. M CI Worldcam Inc. Nono J r
24. Microsoft Corp. Washington A Dividend J T
25. Pfiza-lnc. A Dividend I r
26. None J T
27. Walnwt Sta= Inc. A Dividend K T
28. Boynton Beach Fla. Util. Sys. Rev. B ln1=St K T
29. FlL SLDiv.Bd.Fin.Oept. General Services Interest
30. Reedy Clodc FlL Impt. Dist Fla. Utilities Rev. B ln1erCSt K T R.cdocmed 7/ 1 K
31. Jacl:sonnlle F1L Exci5e Tues Rev. B lntcrest K T
32. Port Pal m Beac h Dist. Fla . Rev . B Interest K
33. Dade Cou nty FlL Wa,_. & Scw.:r System B lntetut K T
34. Dryden (rormcrly Prudeotial) D Interest L T
35. Fidelity Advisor Series Il Balance Fund O. T lnlercSt J T
36. Wachovia Bank !lop.Sweep Opt.(fbr.Bedfurd lnt=t L T
B c D E
-c ...
(So. Colomn C2 ) U •Book Vtafue -Olb .. w -Es.timat:cd
19.
FINANCIAL DISCLOSURE REPORT •
p'age2 of3
lncomc duri:nf T-<bins "'l''"'mgpcriod
(e,g, Voloe v.i C-Odc l div, tcDL or Codc2 M«<ibod (A •Ill
(Q-W)
J
Description of Assets (indodmg-...... )
Place ixr after each asset exanpc. from prior disclosure Idoatily of
buy<dsdkt ftfpriwitc .....""'")
2Q.
Scnsar Corp.
A
T
A :
A Mon.Mmt1 Fund)
• $15,00l-S50,000 J. �C.Codoa; • ·Co!wxnsBl ...S 1).1)
2. v.ru. Codes:
(S« Col"""" Cl aodDl)
A -st,OOOork:ss •S2,.>0l-S5,000 •Sl,001.$1,.>00 •S5,001-Sl5.000
H2 -Mo<ec ..... $5,000,000
J •$1.S,000 QI" less I( &$15,00l·SSO,OOO L c$50,00l-SIOO,OOO M • SI00,001-S250,000
N •SlSC,000-lS00,000 0 -$500,001-Sl,OOO,OOO Pl •St,000,001 -SS,000,000 P2 -ss.000.001..sis.ooo.ooo
F -$50,001-SJ00,000 0 • $100,001-S 1,000;000 m -..s1,ooo,001..ss,ooo.ooo
PJ -ru.ooo.001�s.so,ooo,ooo p.c -$Mote than S.S0,000.000
3. Vatue f\k:!hod Codes Q • Appnlisal R (Real -· o.Jy) s -Assc.ummt T -au�wtcet
v
N am e of P e rson RcpOrting FAY, P ETERT
A. B. c.
..,,..n.g period rcponing period
(1) (2) ( I ) (2)
- Typo Med>Od
Int.) (J-P)
Cando un i t. Melbourne Beach , Fl a. None w
FL Ml'= Fl a. Gas Tax-"" A lnborcst K T
J . o Codes: 'B c
. '.L
(Sec Column C2) u •Book VO»e v •Otho< Vt; -Estir11;.
D e: of Report
411812005
o.
(I) u oot cxcmpc ·-(l) (3) (4)
Date: Value Goin ldclllity of buy,..il, - - Code l Code I ""'J:C<, °"' (J.P) (A-R} nd<m ..... )
Buy 6129 K
D E
:;::lNANCIAL DlSCLOSURE REPORT '
Page3 of3
DescripcQI of ....... Jncomeduring
(i>dudiog""" "'21$)
Place •(X)• after -=II assd exempt &om prior diaclc$R COO. I
(A-H)
(e.g.div. rmt. «
Value Codcl
Gnns va!uo aa olX! or
vw.
Code)(Q-W)
TransaWcm during rcportiog period
T>JIC (e.g. (S)
buya/se!kt(if private tra!Wlcboo)
37. M
38.
A •Sl.000 or le$s •Sl.OOl�SOO •Sl;SOl-JS,000
(S<e BI andD4) F -sso.0014100. 0 -SJOO,�l-$1,0�000 HI ,s1,ooo.001•S$,OOO,OOO l. Valtl:Codcs: J -s1s,oooor1ess K = m,00i-S50,ooo sso.001:$100,000
(Sec Cdwnns Cl W Q'3) " •"'$2$0,DOOOS$DO:,OOO 0 • SS00,001-$1,000,000 - Pl -..,st.000; 1..$5,000,000 P3 -$25,000,001,SS0,000,000 "P4 • SMo .tb.m'SS0,000.,000
3. V-M<d>ad Codcs Q •Appraisal R -Cost (R<al-()oly)• ·s •A$$e3smcnt
-ss.001...s1s.ooo -$15,001,SS0,000 -MottlhM-ss.000,000
M -. $100,00l-$250,000 n -u.oo0,001..ns.000.000
T -Cis:hlMat\:et
Oa.tc ofR.cpon Nuneofi>uson Reporting . FINANCIAL DISCLOSURE REPORT
FAY, PETERT 411812005
(ln<fi..,.,,... otRq>a<t.J VIII. ADDmONAL INFORMATION OR EXPLANATIONS
'
- ... ··- - - -
FINANCIAL DISCLOSURE REPORT NamcofPenon Rcporunr. Date of Report
FAY, PETERT 4/lBl'lOOS
IX. CERTIFICATION.
I certifythat all information given above(including information pertaining to my spouse and minor or dependent children, if any) is accurate, true, and complete to the best of my knowledge and belie( and that any information not reportedwas withheld because it met applicable statutory provisions permitting non-disclosure.
Ifurther certifythat eamed income from outside employment and honoraria and the acceptance of gifts which have been reported are in compliance with the provisions of5 U.S.C. §SOI et. seq., S U.S.C. § 7353, and Judicial Conferenceregulations.
Signature
NOTE: ANY INDIVIDUAL WR
BE SUBJECT TO CIV1L AND
Date !'? :i..oo._r
GLY AND WU.FULLY FALSIFIES ORF AILS TO FILE TIIIS REPORT MAY
SANCTIONS (5 U.S.C. app. § 104)
FILING INSTRUCTIONS
Mail signed original and 3 additional copies to:
Committee onFinancial Disclosure Administrative Office ofthe United States Courts
Suite 2-301
One Columbus Circle, N.E.
Washington, D.C. 20544